Active NPI
Angel L Fontan, M.A.
- Forensic Psychiatry Physician
- Rio Piedras, PR
National Provider Identifier
1124239710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 877
- Practice address
- 1106 Calle 41
Villa Nevarez
Rio Piedras, PR 00927-5102 - Phone
- (787) 758-8019
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 877 | PR | Primary |
Addresses
Primary practice location
1106 Calle 41
Villa Nevarez
Rio Piedras, PR 00927-5102
Mailing address
E12 Calle Benitez
Sierra Berdecia
Guaynabo, PR 00969-6231
Phone (787) 789-1712
Other names 1
- Mrs. Maria S. Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877 | PR | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124239710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E12 CALLE BENITEZ",
"address_2": "SIERRA BERDECIA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009696231",
"telephone_number": "787-789-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 CALLE 41",
"address_2": "VILLA NEVAREZ",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009275102",
"telephone_number": "787-758-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAN",
"first_name": "ANGEL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "PR",
"license": "877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "RIVERA",
"middle_name": "S.",
"prefix": "MRS.",
"credential": "PSY. D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rio Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.